13th oct teaching nisha talwar fy2. chronic activation of raas and adrengic systems results in a...
TRANSCRIPT
13th OCT Teaching Nisha Talwar FY2
FAILURE
LEFT
RIGHT
Chronic activation of RAAS and adrengic systems results in a
vicious cycle that further exacerbates
physiological response
Causes
Left
IHD
Dilated cardimyopathy
Hypertension
Valve disease Mitral/aortic
Right
Chronic lung disease
PE
Pulmomary hypertension
Valve disease Triscupid/pulmonary
Congential heart disease ASD/VSD
Diagnosis
Need to do history and examination
Cardiac dysfunction must be demonstrated
Investigations Bloods CXR ECG ECHO
Need to treat underlying cause!!
Classifciation - NYHA
Typical CXR
Management
General
Medical
Non pharmacological
Management
Diurecti
cs
ACE inhibitors B- blockers
Aldosterone
antagonists
Intropes Nitrates
Non Pharmacological
Revascuarization CABG or angioplasty
Cardiac resynchronisation therapy Biventricaular pacemaker or ICD
Valve replacement
Cardiac Transplantation
LVAD (left ventricular assist device) and artificial heart
Home with a happy heart !